| Cambridge Dental Annex | |
|
897 Massachusetts Ave Cambridge MA 02139-3045 | |
| (617) 871-1482 | |
| (617) 871-1484 |
| Full Name | Cambridge Dental Annex |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 897 Massachusetts Ave, Cambridge, Massachusetts |
| Authorized Official Name and Position | Carol K Yun (DENTIST/OWNER) |
| Authorized Official Contact | 6178711482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cambridge Dental Annex 897 Massachusetts Ave Cambridge MA 02139-3045 Ph: (617) 871-1482 | Cambridge Dental Annex 897 Massachusetts Ave Cambridge MA 02139-3045 Ph: (617) 871-1482 |
| NPI Number | 1033363395 |
|---|---|
| Provider Enumeration Date | 11/12/2008 |
| Last Update Date | 11/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033363395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 17123 (Massachusetts) | Primary |
1749 Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1749 Massachusetts Ave, Cambridge, MA 02140 Phone: 617-491-1161 | |
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